Advantages Of An Opt Out Organ Donation System

The first organ donation was successfully performed in 1954 (Major). Since then, institutions have set up many regulations and processes that have saved many lives by allowing people to donate their organs, but government policies in the United States have set up laws that prevent individuals to make choices about their own bodies. The National Organ Transplant Act (NOTA) is a regulation that prevents those who prefer to profit from their donation. The purpose of the act was to, “prohibit the assignment of a monetary value to an organ for transplantation, thus preventing commercialization and ensuring some level of equity in access to organs” (Delmonico). “Punishment includes fines up to $50 000 and 5 years in prison” (Friedman). The only country that legalizes organs to be bought and sold is Iran. The Iranian government recognized the overwhelming increasing of resources needed for dialysis as more and more people were becoming ill, so the government decided to make it legal to pay citizens to have transplants mainly in the UK (Major). When a person is in need of an organ, doctors assess whether or not that person is eligible for a transplant (Bernard). Once they have been approved, the patient will be referred by the doctor to a transplant center where they evaluate the patient’s physical and mental health as well as the patient’s social support to clear the requirements for being considered a viable candidate for an organ transplant, and finding the right donor is all

England currently practices an opt-in system of organ donation. The waiting list for organ donor transplants exceeds 10,000 meaning that people are losing their lives everyday due to a shortage of donor organs. It has been suggested for a while that England adopts the opt-out system, in order to increase donation rates and decrease the number of people dying whilst waiting for an organ transplant. This systematic review aims to present the different ethical arguments supporting a change of organ donation system to opting-out instead of opting-in.

The current system of the United States as well as most of Europe for organ obtaining is through presumed refusal, which is also known as the “opt-in” system. In this system a person’s organs cannot and, “will not be removed from his/her postmortem body unless he/she has explicitly consented to this being done.” (Taylor 383) Under this system, citizens must “opt-in” to become organ donors by registering to become donors. Consequently, this method of obtaining organs does not produce very many organs up for donation. This is true for a variety of reasons, which is why many are suggesting the United States should adopt a new system of presumed consent. Totally opposed to presumed refusal, “under presumed consent it is presumed that persons would prefer to donate their organs for transplantation after their death” (Taylor 383).

Organ donations are voluntarily, yet still nearly half of the registered organ donators fail to donate their organs after death because of non agreement

Generally, there are more patients on a waiting list for organs than there are organ donors, which cause a vast shortage in organ donation (Bilgel, 2012). In 2014 in Wales, there were 220 patients on the transplant waiting list, but deceased donor transplants only had 129 (NHS, 2016). It is truly a significant disparity. Thus, a new opt-out organ donation was enacted in Human Transplantation Act of Wales in 2013 to solve this issue, which was implemented in 2015. The opt-out organ donation is defined as those aged 18 or over who choose to do nothing, and have lived in Wales for more than 12 months, will be regarded as having consented to organ donation. What’s more, this system is a soft one means where relatives' views are sought, although

Throughout history, medical advancements and breakthroughs have been increasing exponentially, especially in recent years. These breakthroughs have had a profuse impact on our society as the average life expectancy in the United States has increased from 68 years in 1950 to 79 years in 2017. One of these revolutions in medicine is the process of organ donation. But unlike the majority of these medical innovations, organ donation has become a controversial topic amongst our society. Although organ donation is not a perfect process and may not follow all religious beliefs, it should be supported because it allows for medical advancements to occur throughout the world, follows strict regulations to ensure fairness, and allows for the gift of

According to The U.S. Department of Health and Human Services, “However, an average of 22 people die each day waiting for transplants that can't take place because of the shortage of donated organs”.

Every day, 20 people die because they are unable to receive a vital organ transplant that they need to survive. Some of these people are on organ donation lists and some of them are not. The poor and minorities are disproportionately represented among those who do not receive the organs they need. In the United States alone, nearly 116,000 people are on waiting lists for vital organ transplants. Another name is added to this list every 10 minutes. This paper will argue that organ donation should not be optional. Every person who dies, or enters an irreversible vegetative state with little or no brain function, should have his or her organs-more specifically, those among the organs that are suitable for donation-harvested. A single healthy donor who has died can save up to eight lives (American Transplant Foundation).

Every ten minutes, another person is added to the active wait list for an organ donation. That is six people every hour, 144 every day, and 1008 every week. Approximately 120 thousand people need an organ transplant to survive. Of all of those people, only 79 thousand people are on an active wait list, while only 20 thousand transplantations have been completed this year. There are not enough donors to meet the current organ demand, and of those that do donate organs, the costs incurred by the donor do not equal the benefits. The current organ donation system operates under subpar economical standards, and should be revised to allow trade of organs on the free market.

The first successfully transplantation of an organ occurred in 1954, and since then the rates of organ donation have increased substantially (Welbourn, 2014). However, a big discrepancy exists between the amount of available organs and the quantity of people requiring one to survive. Thus, legislations have been made to minimize such discrepancy. Different countries have diverse copying mechanists on how to overcome this issue. Currently, Canada has the opt-in system in which any individual that wishes to become an organ donator may do so by registering (Eggertson, 2012). However, organ donation rates in Canada are quite small compared to other countries such as Spain, Belgium, or the United States – rates standing at 15.5 donors per million population in Canada compared to 35 PMP and 26 PMP in Spain and USA respectively in 2012 (Norris, 2011). Several countries worldwide have opted for an opt-out system in which individuals are presumed to have consent to be organ donors unless specified otherwise, and such countries have higher donor rates, but it is not known if the reason is specifically due to this presumed consent system (Norris, 2011). I believe that an opt-out system (presumed consent) would be beneficial in Canada because it addresses important ethical issues, including autonomy, beneficence, justice, and non-maleficence.

Presumed consent is a third strategy where citizens’ organs are taken after they die, unless a person specifically requests not to donate while still living. Many worries with this method is that the general public would have to be educated and well informed about organ donation, which is difficult to adequately achieve. Also, this approach requires people who wish to opt out to take action and this might unfairly burden some people e.g. minority cultural groups and immigrants might find it most challenging to opt out of donating due to language barriers and transportation difficulties.

As Richard Brodsky, a New York State senator, as stated, "What I've said to anybody, whether they like it or they don't like it, we can't sustain the current system."(Matthews). Foreign countries such as France, Spain, and Austria have the opt-in/opt-out system, and their amount of donors nearly meets the demand for organs (Matthews). The US currently has the Opt-In system, which is done by checking a little box when applying for a driver's license (Allfather). It is often ignored or looked over, causing people with viable organs to not be able to donate them even if they weren't against it. But if the US were to adopt and opt-out system, then someone saying they didn't want to be a donor would be as simple as checking that little box then applying for their license (Nelson, Murray). This system would make for many more available organs, and maybe even make the availability high enough to wear it meets the needs of the country.

Generally, there are more patients on a waiting list for organs than there are organ donors, which cause a vast shortage in organ donation (Bilgel, 2012). Compared to the 220 patients who were waiting for organs, deceased donor transplants only had 129 in Wales in 2014(NHS, 2016). Thus, a new opt-out organ donation was enacted in Human Transplantation Act of Wales in 2013 to solve this issue, which was implemented in 2015. According to Welsh government, the opt-out organ donation could be said those aged 18 or over who choose to do nothing, and have lived in Wales for more than 12 months, will be regarded as having consented to organ donation (2015). What’s more, this system is a soft one means where relatives' views are sought, although the

It is said that ¨While about 80% of Americans support donation, there are fewer than 50% who agree to organ donation if approached upon the death of a family member¨ (Organ Donation). Doctors usually ask family members if it is okay to donate the organs, even if they say they are donors on their licence. The opt-out policy would allow you to donate your organs regardless of your family members saying no when approached upon your death. An opt-out policy is not the only thing that we can do to help increase the number of available organs.

As of November 30th, 2017, 116,080 people formed the organ transplant waiting list. On average, twenty people on this list will die today. The number of people that need an organ transplant continues to grow; every ten minutes a new name is added to the list. According to the U.S. Department of Health & Human Services, “only 3 in 1,000 people die in a way that allows for organ donation” (“Organ Donation Statistics”). In order for a deceased person to give organs, the organs must still be alive to donate. Organ transplantation improved greatly over the last century, but with an insufficient amount of organs available, it limits breakthroughs. In essence, new methods need to replace the unavailable organs. These methods drastically improve the process of organ transplantation, and in the future, the overall humans well-being.